Gastrointestinal tract perforation due to blunt abdominal trauma

Pediatric Surgery International
A O CiftciA Hiçsönmez

Abstract

A retrospective clinical study was performed to evaluate the etiology, diagnosis, and management of gastrointestinal tract perforation (GITP) due to blunt abdominal trauma (BAT) in order to find a predictor to avoid delay in diagnosis. Thirty-five children with GITP out of 805 BAT victims (4.3%) over a 21-year period formed the study group. Different parameters including preoperative (mechanism of injury, abdominal and X- ray findings at presentation, diagnostic modalities), operative (type and site of GITP, intra-abdominal associated injuries, surgical method), and postoperative (complications, mortality) status were analyzed. The patients were subdivided according to their initial clinical presentation as group I: evidence of peritonitis (n = 19, 54%); group II: abdominal findings such as distension, minimal tenderness, and guarding (n = 10, 29%); and group III: normal abdominal findings (n = 6, 26%). These groups were also statistically compared to each other with regard to the parameters mentioned above. The Mann-Whitney U, Wilcoxon rank-sum, and Kruskal-Wallis tests were used for statistical analysis. P < 0.05 was considered to be statistically significant. There were 28 boys and 7 girls; the mean age was 8.2 +/- 2.4 years...Continue Reading

Citations

Jan 14, 2000·Clinical Nuclear Medicine·A MainiB Dasan
Feb 15, 2001·Journal of Pediatric Gastroenterology and Nutrition·A O CiftciF C Tanyel
Dec 26, 2001·Pediatric Emergency Care·D R DurbinE K Moll
May 26, 2001·BMJ : British Medical Journal·J P LamJ D Orr
Nov 26, 2009·The American Journal of Emergency Medicine·Vasileios K KouritasKostas Hatzitheofilou
Jan 20, 1998·Journal of Pediatric Surgery·A O CiftciM E Senocak
Jul 20, 2006·Seminars in Roentgenology·A Luana StanescuF A Mann
Dec 14, 2011·Journal of Trauma Nursing : the Official Journal of the Society of Trauma Nurses·Michelle PooleNilda Garcia
Sep 21, 2017·The Journal of Trauma and Acute Care Surgery·Chase A ArbraChristian J Streck
Jan 24, 2019·Pediatric Emergency Care·Robert J VandewalleThomas M Rouse

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